good help Safe

good help
Fall 2014
How to
Young Ones
during Sports
A Handy
Guide to
» The History of
the OLBH
| Around
Setting an
Example of
e hope you enjoy this special issue of Good
Help, dedicated to the health of you and
your children. If you are a parent, then I do
not have to tell you how important your role is in setting
an example for your children. Saying the right things
and, more importantly, doing the right things are vital to
earning respect and passing along right behaviors.
We at OLBH feel that we too must set forth an example
for our community. As a healthcare institution, we have
a responsibility to not just talk the talk but to walk the
walk of wellness. It is one thing to tell others about how
to live a healthier, happier life,
but it is another to put this in
to practice for ourselves. It’s
for this reason that I’m proud
OLBH has been named a
recipient of a 2014 Kentucky
Worksite Wellness Award.
OLBH was the only worksite
in the state of Kentucky to
receive a platinum level honor.
The criteria for the recognition were based on the
Centers for Disease Control (CDC) Worksite Health
ScoreCard. The CDC Worksite Health ScoreCard (HSC)
is a validated tool designed to help employers assess the
extent to which they have implemented evidence-based
health promotion interventions in their worksites.
Here at OLBH, we have a wellness program of which we
can all be proud. Our employees receive free membership
to onsite exercise facility Firm Fitness, access to an
on-campus walking trail, regular weight loss challenges,
health and wellness classes, an annual personal health
assessment and other wellness initiatives. OLBH is a smokefree facility that rewards employees for healthy choices by
offering financial incentives through the hospital’s health
insurance plan.
Countless hours have gone into making us a healthier
workplace. I am grateful for the hard work and dedication
on this endeavor from the Bon Secours Health System, our
employees and physicians, the OLBH Board of Directors
and the hospital’s administrative and management teams.
I am proud of what our health system has been able to
accomplish by practicing what we preach in regards to
wellness. We have come together in a spirit of wellness to
be an example in our community. Won’t you join us?
Kevin Halter, CEO, Our Lady of Bellefonte Hospital
2 good help |
Fall 2014
Safety Camp
16th Annual
a Success
OLBH celebrated Bicycle
Safety Month with Tri-State
Pediatrics, Ashland Cycling
Enthusiasts and Boyd County
EMS by hosting the 16th annual
OLBH Bicycle Safety Camp in
May. It was the first year the
event took place at Bellefonte
Pavilion (2000 Ashland Drive,
Russell). Also new to this
year’s camp was a beginner’s
riding area for young siblings
and a free movie shown at the
end of the camp.
DAISY Award Comes to OLBH
OLBH has become a partner for the DAISY
Award, an international program that rewards
and celebrates the extraordinary clinical skill
and compassionate care given by nurses every
day. DAISY is an acronym for Diseases Attacking the
Immune System. OLBH recognizes a nurse every other month.
OLBH awarded its inaugural DAISY Award
to Pamela Workman, BSN, RN. Workman is a
nurse in OLBH’s Pediatrics Department. She
has been an OLBH employee for seven years
and a nurse for three. DAISY Award honorees
consistently demonstrate excellence through
their clinical expertise and extraordinary
compassionate care. They are recognized
as outstanding role models in the nursing
community. The DAISY Award originated
Pamela Workman from The DAISY Foundation, formed in
1999 by the family of J. Patrick Barnes who
died at age 33 of complications of Idiopathic
Thrombocytopenic Purpura. The Foundation, in Barnes’
memory, was established to express gratitude to nurses.
For more information, visit
Stay Connected
Our Lady of Bellefonte Hospital:
Saint Christopher Drive | Ashland, KY 41101
OLBH CareLine: (606) 833-CARE (2273), [email protected]
Annual HeartChase
OLBH, KDMC Collaboration
The third Ashland HeartChase took place Saturday, June 28, in
Ashland’s Central Park and for the first time in the event’s history
was a collaborative effort of OLBH and King’s Daughters Medical
Center (KDMC).
The successful American Heart Association fundraiser offered
participants a creative way to contribute to an important cause
while having a good time and reinforcing a healthy lifestyle. Ashland HeartChase is a combination of popular television shows
such as “Amazing Race” and “Minute to Win It.” The competition took competing teams throughout Ashland where they performed both physical and mental challenges at checkpoints throughout the city. The
team from OLBH’s Patient Access Department (pictured below at left) took home the
day’s top honors. More than $14,000 was raised at the third Ashland HeartChase to
benefit the American Heart Association.
For more information, visit The Ashland HeartChase also can
be followed on Facebook at
Introducing Bellefonte Pediatrics Russell
Pediatrician Kelli Brown, M.D., FAAP, and
pediatric nurse practitioner Alissa Parker,
APRN, CPNP, IBCLC, have moved their practice to the new Bellefonte Pediatrics Russell at
1061 Kenwood Drive in Russell, Ky. Dr. Brown
and Parker relocated their practice from the
former Professional Pediatrics in Russell.
Dr. Brown is a graduate of the Marshall
University School of Medicine where she also
completed an internship and residency. She Kelli Brown, M.D.
Alissa Parker
recently achieved board certification from the
American Board of Pediatrics.
Parker is the only primary care provider in the Tri-State who also is a certified
lactation consultant (achieved from the International Board of Lactation Consultant
Examiners) and Bellefonte Pediatrics Russell is the only pediatrics office in the area
that also offers lactation services. Parker earned her master’s degree from the
University of Cincinnati and her bachelor’s degree from Marshall University. She is a
member of the National Association of Pediatric Nurse Practitioners and the
International Lactation Consultant Association.
Bellefonte Pediatrics Russell is an affiliate of Bellefonte Physician Services.
Both Bellefonte Physician Services and OLBH are members of the Bon Secours
Kentucky Health System. Bellefonte Pediatrics Russell is open weekdays 8 a.m. to
5 p.m. To schedule an appointment, call the practice at (606) 833-6750.
From left - Peggy Smith, Gail Johnson,
Lisa Massey and Kevin Halter
NURSES Honored
During OLBH’s celebration of
National Nurses Week, Gail
Johnson was honored with the 11th
annual Sister Ruth Ellen James Nursing
Excellence Award, OLBH’s nurse of
the year honor, while Lisa Massey
received the hospital’s sixth annual
Outstanding Nurse Leader Award.
Nominated by her peers, Johnson,
an orthopedic nurse, was selected for
her demonstration of clinical excellence. Nominations also reflected an
admiration for her abilities, commitment, and professionalism. Johnson
has been an OLBH employee since
1973. She is certified by the American
Nurses Credentialing Center in medical/surgical nursing.
The award is named after Sister
Ruth Ellen James, a long-time OLBH
nurse known for her caring nature and
commitment to the hospital’s mission.
Massey serves as the hospital’s
director of Service Excellence,
Palliative Care and the OLBH
Emergency Room. Massey has
worked at OLBH for 32 years. She
earned her associate’s degree from
Marshall University and her bachelor’s
degree from Ohio University.
Did You Know...
OLBH will
host a pediatric
event free to
the public Sept.
20? The public
session concerns
issues, while additional sessions are
geared to physicians and nurses.
To RSVP or for info, call the OLBH
CareLine at (606) 833-CARE (2273).
Fall 2014 | good help 3
Ask the Doctor
Karem Menezes, M.D.,
is a pediatrician at
Bellefonte Primary Care,
Grayson (100 Bellefonte
Drive, Grayson, Ky.). The
office can be reached at
(606) 474-0669.
Firm Up!
with Holly West
Class Instructor at Firm Fitness
Cardiovascular disease remains the
leading cause of death in Kentucky
and poses a significant threat to future
generations who practice unhealthy
behaviors. The most recent statistics
show nearly 80 percent of residents
in Boyd and Greenup counties are
overweight, while 36 percent are
physically inactive and a mere 19
percent eat the daily recommended
servings of fruit and vegetables.
Firm Fitness has partnered with
local health departments in Boyd and
Greenup counties to help families
increase their fitness levels and
improve their overall quality of life.
Through the Appalachian Partnership
for Positive Living and Eating
(A.P.P.L.E.) initiative, local children
and families have, in just 18 months,
reduced their weight by more than
600 pounds, improved their diets
and substantially increased their
daily level of activity. The program is
a family-focused model to improve
health and wellness. The program
is offered to children and families
through funding from the Astra
Zeneca Health Care Foundation.
Firm Fitness is dedicated to creating
a more health conscious community
through education, leadership and
motivation. To learn more about the
A.P.P.L.E. program or to see if you
qualify contact the Ashland-Boyd
County Health Department at (606)
4 good help |
Fall 2014
with Dr.
Karem Menezes
We’re getting ready to shut down our pool for the season, but
I was curious about “near” and “secondary drowning.” I’ve had
the kids in the pool all summer long thinking we were being
safe, but I’m just now hearing these terms and realizing that
as a mom I should know a lot more about it than I do…which is
nothing. What is it? What should I be looking for and how do I
keep the kids safe from it?
– Jeannette – Flatwoods
The definition of near drowning is complications for 24 hours
or more following the survival from a drowning event which
involved impaired consciousness or water inhalation. Secondary
drowning is death due to chemical or biological changes in the
lungs as fluid builds up, which prevents oxygen from getting to
the blood and eventually not being received by the heart, lungs
and brain.
During a near drowning event, as little as two spoonfuls
of water (30 ml) aspirated is enough to fill the bottom of the lungs. When the
affected individual lies down the water spreads through the lungs, preventing
oxygen exchange and the victim slowly stops breathing.
Signs that parents or caregivers should look for are chest or throat pain,
persistent cough or wheezings, difficult breathing, extreme tiredness, vomiting, diarrhea and changes in behavior. Anyone who has been in a near-drowning
situation should be closely watched for 72 hours.
Each issue, an OLBH physician answers reader questions. Submit questions via email to [email protected] or via mail to OLBH
CareLine, Ask a Doctor, Saint Christopher Drive, Ashland, Ky. 41101.
Readers whose questions are printed will receive a free gift.
Chicken Wrap: Use one eight-inch
whole wheat tortilla. Line tortilla with
romaine lettuce leaf (1-2 pieces), top
with two ounces of white chunk chicken
meat and two slices of fresh avocado.
(Squeeze a little lime/lemon juice on
lettuce to keep it from turning brown.)
Roll it all up.
Veggies: Pack ½ cup broccoli florets
and ½ cup baby carrots with a side of
low fat dressing (1-2 tablespoons).
Fruits: Combine 1 cup fresh fruit such as
strawberry and apple slices.
A Little Treat: Create a s’mores mix by
combining 1 graham cracker (square
broken into pieces), 10 mini marshmallows and two dark chocolate chips.
* For older teens/high school students increase
the meat to three ounces and the fruit and vegetable serving sizes and add either baked chips
or pretzels.
Nutrition Facts:
Fat: 16 g
Saturated Fat:
49 mg
627 mg
Carbohydrate: 57 g
11 g
20 g
Offering Complete Care
for Your Little Ones
About OLBH Pediatric Services
Nothing is held more dear by a parent than a child. The caring and professional staff
at OLBH understands this bond, and that is why the hospital offers a multitude of
services and pediatricians whose sole purpose is the care of the hospital’s youngest
patients. From information on the hospital’s inpatient children’s services to assistance in picking a pediatrician, save this article for future reference.
Inpatient Services
OLBH’s Pediatric Department is designed and operated in a way to make
every child’s hospital stay as comfortable
and worry-free as possible. The healthcare professionals that comprise the
department understand parents only trust
their children to the best of care. OLBH’s
pediatric staff includes board certified
pediatricians and experienced nurses,
most of whom have obtained their
Nursing Certification. All of OLBH’s
pediatric nurses have achieved Pediatric
Advanced Life Support provider status
and are trained and experienced in caring
for children in all stages of development.
The department was specially designed
to accommodate the unique needs of
pediatric patients and their families. The
department’s private rooms are designed
for parents to stay comfortably overnight
with children. The department also offers
video games and child-friendly décor.
Pediatric Rehabilitation
OLBH Pediatric Rehabilitation, which
is located inside the Human Motion
Vitality Center on the OLBH campus,
offers comprehensive outpatient rehabilitation programs for
children. Patients can
achieve their highest potential through
and structured fun
activities. Therapy services are provided in a
collaborative, familyfriendly environment
using a variety of
Services offered include:
•Diagnostic evaluations for children
having trouble with the normal developmental process, have identified disabilities, or are experiencing learning
•Treatment and referral services for all children
•Multidisciplinary assessments
•Sensory integration treatments
Therapies offered include:
•Pediatric Speech Therapy - Speech
therapy addresses issues of articulation,
verbal expression, comprehension, voice
fluency, and feeding and swallowing as
these issues relate to functional communication skills and disorders.
•Occupational Therapy - The facility’s
occupational therapy services focus on
the underlying components of development in children for their occupation:
play. The occupational therapy staff
facilitates independence by addressing
motor skill development, handwriting/
education, behavior, activities of daily
living (dressing, feeding, etc.) and sensory integration.
•Physical Therapy - The pediatric
physical therapy services of the facility
address issues of gross motor development, muscle tone and strength, posture,
gait, neuromuscular function, endurance,
and other physical conditions related to
mobility and quality of movement.
OLBH also can provide pediatric
rehabilitation services in a variety of
off-campus locations, including schools,
daycares and other community sites.
Parents should speak to their child’s
family doctor or pediatrician for a referral to OLBH’s Pediatric Rehabilitation or
contact the facility Monday-Friday from
8 a.m. - 5 p.m. at (606) 833-3527.
Finding a Pediatrician
Choosing a pediatrician is a big decision for a parent that consists of two
primary considerations…convenience
and quality. Bellefonte Physician Services
(BPS) boasts pediatricians who excel in
both areas. All offer conveniently located
offices, ensuring quick trips and easy
access to appointments. Each pediatric
provider provides quality and compassionate care rooted in his/her years of
practice and medical training.
BPS is OLBH’s sister member under
the Bon Secours Kentucky Health
System. With both OLBH and BPS under
the Bon Secours umbrella, the pediatric
patients of any Bon Secours Kentucky
Health System facility are afforded a link
to the region’s best medical services and
The following are BPS practices that
are accepting new patients and are at the
top of their field in caring for the youngest
Bellefonte Pediatrics Ashland
2028 Winchester Avenue, Ashland
(606) 324-7337
Jason Ford, M.D., F.A.A.P.
Kristina Rowe, FNP
Bellefonte Pediatrics Russell
1061 Kenwood Drive, Russell
(606) 833-6750
Kelli Brown, M.D., F.A.A.P.
Alissa Parker, APRN, CPNP
Bellefonte Primary Care, Grayson
100 Bellefonte Drive, Grayson
(606) 474-0669
Karem Menezes, M.D.
Maria Sargent, APRN
Christ Care Pediatrics
137 St Rt. 3117, South Shore
(606) 932-2079
Gregory Hudson, M.D., Steven Keys, M.D.,
Jerry Iery, PA-C, William Ruggles, N.P.
Tri-State Pediatrics
Bellefonte Centre, Suite 101
1000 Ashland Drive, Ashland
(606) 836-0919
Donna Bolden, M.D., Cheryl Cook, M.D., Pearl
Hennan-Hain, D.O., F.A.A.P.,
Leigh Ann Weinfurtner, PA-C
Other pediatricians on-staff at OLBH
include A.K. Khanna M.D., F.A.A.P.,
Margaret Ng-Cadlaon M.D., F.A.A.P., and
Chito Ymalay, M.D.
For details concerning BPS including insurance information, office hours, directions
and more, visit bellefontephysicianservices.
For more information concerning children’s services at OLBH or for assistance
in finding a pediatrician, call the OLBH
CareLine at (606) 833-CARE (2273).
Fall 2014 | good help 5
Keeping Kids Safe
When Playing Sports
Simple guidelines to follow for young athletes
oung athletes reap many benefits from sports –
valuable exercise, countering obesity, making friends,
learning teamwork and self-discipline, understanding
the intricacies of competition and cooperation, improved
emotional health and self-esteem, and many, many more.
Children are, however, putting themselves at risk of sports
injuries, some of which can cause long-term problems if not
handled properly. More than 3.5 million children age 14 and
under suffer sports injuries each year, according to the National
SAFE KIDS Campaign, most of them requiring treatment in an
emergency room, clinic or doctor’s office.
Elementary age children are still developing coordination, but
they are also smaller and don’t move as fast or as forcefully.
As kids grow and gain strength, collisions become more of
an issue. Growth patterns vary, so grouping young athletes
by age does not adequately take into account big differences
in size, strength, coordination and skill. Many injuries occur
when children who are small for their age try to keep up with
their peers. Even at the same weight, a child with a great deal
of body fat is no match for one with a greater proportion of
muscle. Parents should look for organized programs that take
these differences into account.
The bones, muscles, ligaments and tendons of children are
still growing, and growth patterns are often uneven, leaving
some tissue vulnerable to sprains and strains. The bones of a
child contain growth plates, areas of cartilage where growth
is taking place. These are relatively weak and particularly
vulnerable to injury. Injuries to growth plates are potentially
serious and should be treated by a pediatric specialist.
Whether in games or practice, young athletes should be
watched closely for signs of pain and fatigue. Coaches should
be careful not to push young athletes into playing with injuries
or over training. In a young person, these injuries are more
serious because they can have an effect on bone growth. In
addition to excessive training, overuse injuries can be caused by
improper technique, poorly selected or worn out athletic shoes,
playing the same sport year round or playing multiple sports
in the same season. When overuse injuries do not respond
promptly to RICE treatment (rest, ice, elevation, compression),
the child should be examined by a doctor. (For information on
concussions and OLBH’s concussion management program, see
the Fall 2012 issue of Good Help.)
6 good
good help
help ||
Fall 2014
Keep kids safe by following some simple guidelines. Make
sure young athletes:
[ HAVE THE PROPER GEAR ] Most sports require standard
protective gear, and it’s important for parents and coaches to
ensure that the right helmet, mouth guards, eye protection and
pads are used. Make sure it’s the right helmet for the sport and
that it fits snugly and comfortably.
should be well maintained. For example, stones on a baseball
infield can cause bad hops into the fielder’s face while holes or
divots in a soccer field can lead to a sprained ankle.
[ KNOW AND FOLLOW THE RULES ] Many rules exist for the
protection of the athletes. Children should know the rules of the
sport and be instructed to follow them.
[ WARM UP ] before getting into vigorous activity and cool
down afterward with proper stretches to maintain flexibility.
perspire less than adults, and sweating starts at a higher
body temperature. Be wary of the signs of heat exhaustion
(nausea, dizziness, weakness, headache, pale and moist skin,
heavy sweating, weak pulse, disorientation) and of heat stroke
(dizziness, confusion, and skin that is hot and dry). Heat-related
injuries are dangerous and often occur because of a deficit in
body fluids. Be sure young athletes have access to water and
sports drinks.
At the OLBH Human Motion Vitality Center, certified
strength and conditioning specialists and physical therapists
have combined their disciplines to create the ultimate sports
performance enhancement program. Athletes from all sports
and of all ages and abilities rely on the Human Motion Sports
Performance Enhancement Program to improve their skills.
The enhancement program allows athletes to reach their
optimal performance level while learning techniques for injury
prevention. The program is available year round to all athletes
seven years of age and older.
Keeping young athletes safe simply requires some common
sense. The benefits kids receive from participating in sports far
outweigh the risks. Fortunately, OLBH provides parents and
coaches with the tools to build a better athlete, rehab sports
injuries and to prevent such injuries before they even have a
chance to occur.
For more information regarding the Human Motion Sports Performance
Enhancement Program or to schedule an appointment, call (606) 833-3517.
Get the Shot, Not the Flu …
Children’s Flu Clinic
Leaves Legacy of Healthy Kids
heryl Cook, M.D., has a passion
for protecting children from
the flu that goes beyond just
her responsibilities as a long-time
pediatrician in the Ashland area. For Dr.
Cook, her interest is personal and was
present before she decided to become
a physician. Dr. Cook’s grandmother was
only two when her mother died during
the flu epidemic of 1918.
“What happened with my greatgrandmother is why I’m such a big
proponent of flu vaccines and one of
the reasons I wanted to start the OLBH
Children’s Flu Clinic,” Dr. Cook said. The
upcoming clinic, scheduled for October,
is the eighth year of the popular event
which aims to protect area children
during flu season, whether they are mild
or of the historic variety such as the one
that took the life of Dr. Cook’s greatgrandmother.
The 1918 epidemic was one of the
largest natural disasters in human history
and involved the H1N1 influenza virus that
has made a comeback in recent years.
More than 500 million people across the
world became infected and an estimated
50 to 100 million of them died. At the
time, such numbers amounted to three
to five percent of the world’s population
wiped out by the flu. While no epidemic is
forecasted, Dr. Cook warned that such a
tragedy could still happen today. “It’s one
of the reasons why we all need to stay
prepared and vaccinate ourselves and
our loved ones,” she said.
When Dr. Cook and her partners and
staff at Tri-State Pediatrics conducted the
first OLBH Children’s Flu Clinic in 2006,
it was the area’s first child-specific clinic.
Today, it is still the area’s only children’s
flu clinic, with nearly 5,000 vaccinations
provided during the event’s history. “The
first clinic was really successful,” Dr. Cook
said. “We do anywhere from 300 to 700
vaccinations each year and the first clinic
went like clockwork so we’ve really not
had to change much of anything through
the years.”
The one thing that has changed is the
technology. “We like to stay ahead of
the curve when it comes to the science,”
Dr. Cook said. One advance incorporated
into the clinic throughout the years
includes FluMist, which allows the needleaverse to inhale the vaccine. “Another
big breakthrough for us came when
they invented Pain Eze, which allows us
to numb the child prior to vaccination,”
Dr. Cook said. “It made a big difference in
tears.” This year’s clinic will be the second
that offers Flucelvax, an alternative
vaccine for those individuals who cannot
take the standard vaccine due to an egg
allergy. The vaccine was a breakthrough
when it was introduced in 2007.
The original concept behind the
children’s clinic was to allow parents
and caregivers the opportunity to have
their children vaccinated in a “well”
environment as opposed to a doctor’s
office where other children may be sick.
“It is efficient and takes less than 10
minutes,” Dr. Cook explained.
What is the flu?
The flu is an upper respiratory viral
infection with symptoms similar to those
of the common cold but much more
severe. Whereas cold symptoms may
come on gradually, the flu is likely to hit
hard on the first day-with fevers, chills,
headache and a generalized achy feeling
that makes a sufferer want to go to bed.
Like a cold, the flu is viral rather than
bacterial and, as a result, cannot be
treated with antibiotics. Certain antiviral
medications can be used to decrease the
severity of the flu, but it’s still a battle
that requires patience and it is better to
prevent than to battle.
Why get the flu vaccine?
Flu vaccine is recommended for
children ages six months to 18 years
regardless of whether a child has other
chronic conditions. Influenza can lead
to various types of pneumonia. It can
aggravate heart problems or other
chronic diseases. In a normal year, and
this may not be a normal year, the flu kills
approximately 36,000 Americans and
sends more than 226,000 to the hospital.
Flu vaccines are 70 to 80 percent
effective in preventing influenza.
According to the Centers for Disease
Control, the best time to receive a flu
Top: FluMist allows for vaccination without
needles. Bottom: Cheryl Cook, M.D., at the
first OLBH Children’s Flu Clinic in 2006.
vaccination is October or November.
“We always have the clinic before the
onset of the flu season so that our kids
are prepared,” Dr. Cook said. “We preach
‘flu vaccine around Halloween’ to make it
easier for everyone to remember. We also
stress that you can’t catch the flu from
the flu vaccine. This is a common myth.”
Once again this year, all the physicians
of Tri-State Pediatrics, the office staff
and volunteers from OLBH will give their
time to offer this service. “It’s worth it,”
Dr. Cook said. “Through the years we’ve
been able to watch so many of these
kids grow up. Some of them came in
frightened their first year and now they
receive their vaccine like it’s nothing.
It’s been really wonderful to see these
children and our clinic grow.”
The clinic is open to all area children
and the cost of the vaccination is $20
for the traditional vaccine and $25 for
FluMist. For more information, including
this year’s dates, call the OLBH CareLine
at (606) 833-CARE (2273).
Fall 2014 | good help 7
It’s the weekend. Is your child sick?
Pediatrician’s office closed?
We’re here for you!
Benton, MD
Fuller, MD
1005 East Ring Road
(740) 533-3950
Murrell, PA
8991 Ohio River Road
(740) 981-3356
Mon. - Fri. 8 a.m. - 8 p.m., Sat. - Sun. 9 a.m. - 5 p.m.